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    NCP_BEDSORES

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    3 views10 pages

    NCP Bedsores

    Uploaded by

    FATIMA PANDAOG

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 10

    NURSING CARE PLAN

    Identified Problem: Pressure ulcer

    Nursing Diagnosis: impaired skin integrity r/t prolonged bed rest and decreased in mobility

    CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION


    Subjective: Short term objectives: Short term:
    “naa syay bed sores”as After 4 hours of nursing  Handled client gently.  Skin of the older client is also The patient’s SO shall participate
    verbalized by the patient S/O. interventions, the patient’s SO thin, less elastic, and prone to in prevention measures and
    will able to participate in injury. treatment program.
    prevention measures and  Maintained and instruct the patient’s SO in  To reduce risk of dermal trauma,
    treatment program. good skin hygiene. improve circulation, and promote
    comfort.
    The pt will experience healing
    of pressure ulcers and  Encouraged and assisted with regular  Changing positions frequently
    experiences pressure repositioning. prevents prolonged pressure on
    Objective: reduction. the affected area and helps
    (+) PRESSURE ULCER alleviate discomfort.
     Provided comfort measures such as  These measures help relieve
    positioning, use of pillows or cushions. pain and promote comfort.
    Long term:
     Used appropriate padding.  To reduce pressure on sensitive The patient shall be able to
    areas and enhance circulation display progressive improvement
    compromised tissues. in wound healing.
    Long term objectives:  Provided preventive skin care to incontinent  To minimize contact with irritants
    After 3 days of nursing client. Change continent pads/underwear or (urine, stool, excessive
    interventions, the patient will diapers frequently; cleanse perineal skin daily; moisture).
    be able to display progressive and after each incontinence episode, apply
    improvement in wound skin protectant ointment.
    healing.
     Monitored the skin for changes or failure to  Promote timely evaluation and
    heal. intervention.

    DEPENDENT:
     Administered prescribed medications,
    such as Hyclens (wound spray) as
    ordered, to provide wound healing.

    Patient’s Name / Room No. | 1


    NURSING CARE PLAN
    Identified Problem:

    Nursing Diagnosis:

    CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION


    Subjective: Short term objectives: Short term:

    Objective:

    Long term objectives:

    Long term:

    NURSING CARE PLAN


    Patient’s Name / Room No. | 2
    Identified Problem:

    Nursing Diagnosis:

    CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION


    Subjective: Short term objectives: Short term:

    Objective:

    Long term objectives:

    Long term:

    NURSING CARE PLAN


    Identified Problem:
    Patient’s Name / Room No. | 3
    Nursing Diagnosis:

    CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION


    Subjective: Short term objectives: Short term:

    Objective:

    Long term objectives:

    Long term:

    NURSING CARE PLAN


    Identified Problem:

    Patient’s Name / Room No. | 4


    Nursing Diagnosis:

    CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION


    Subjective: Short term objectives: Short term:

    Objective:

    Long term objectives:

    Long term:

    NURSING CARE PLAN


    Identified Problem:

    Nursing Diagnosis:
    Patient’s Name / Room No. | 5
    CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
    Subjective: Short term objectives: Short term:

    Objective:

    Long term objectives:

    Long term:

    NURSING CARE PLAN


    Identified Problem:

    Nursing Diagnosis:

    Patient’s Name / Room No. | 6


    CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
    Subjective: Short term objectives: Short term:

    Objective:

    Long term objectives:

    Long term:

    NURSING CARE PLAN


    Identified Problem:

    Nursing Diagnosis:

    CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION


    Patient’s Name / Room No. | 7
    Subjective: Short term objectives: Short term:

    Objective:

    Long term objectives:

    Long term:

    NURSING CARE PLAN


    Identified Problem:

    Nursing Diagnosis:

    CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

    Patient’s Name / Room No. | 8


    Subjective: Short term objectives: Short term:

    Objective:

    Long term objectives:

    Long term:

    NURSING CARE PLAN


    Identified Problem:

    Nursing Diagnosis:

    CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

    Patient’s Name / Room No. | 9


    Subjective: Short term objectives: Short term:

    Objective:

    Long term objectives:

    Long term:

    Patient’s Name / Room No. | 10

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